Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Noah Dickerson, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1245015338

Noah Dickerson, PT is a Physical Therapist in Private Practice in Emeryville, California. Qualified in 2023, 3 years ago. Practices with Tuolumne Me-Wuk Indian Health Center Inc, a 24-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2322 Powell St
Emeryville, CA 94608-1738
Phone: (510) 653-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 304425 (CA)

Record details

NPI number1245015338
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address459 23rd St Apt 408, Oakland, CA 94612-2328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tuolumne Me-Wuk Indian Health Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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